Double Burden: Obesity Among Iron Deficiency Anemic Nursing Students

MedRN: Other Nutrition (Topic) Pub Date : 2017-05-20 DOI:10.2139/ssrn.3005012

U. Sittisingh

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Abstract

Background: The Fourth Thai National Health Examination Survey in 2008-9 reported that the prevalence of the overweight and obese employing the Body Mass Index (BMI) >25 kg/m2 for BMI cut-off points for Asian population was 20.6% among females aged 15-29 years and iron deficiency anemia (IDA) classifying by the World Health Organization (WHO) criteria with Hemoglobin (Hb) < 12 g/dL in women above 15 years of age was 25.3%. Methods: A cross-sectional survey was conducted among 57 females aged 18 – 22 years out of 114 of 1st year nursing students. Hb concentration examination, BMI and self administrated questionnaires were completed on the day of their annual physical checkups. This study aimed to investigate the prevalence of obesity among IDA nursing students at St Theresa International College in Nakhon Nayok Province, Central, Thailand. Results: The prevalence of overweight and obese (BMI > 25 kg/m2 ) was 5.3% while the prevalence of IDA (Hb 27.5) were 28.1, 57.9, 10.5 and 3.4% respectively. Among this group, IDA was found in 12.5, 27.3, 33.3 and 100% in each BMI category respectively. When international classification was used it showed that underweight ( 30.0) was 28.1, 66.7, 3.5 and 1.8 % respectively and IDA was in 12.5, 23.2, 50 and 100% respectively. In this study, it was statistically significant difference between IDA and the non-IDA with the students’ body weight (Kruskal – Wallis test = 4.31, p< 0.05) and between the normal-weight and overweight with the students' duration of menstruation (Kruskal-Wallis H test = 6.54, p < 0.05). Conclusions: Both IDA and obesity are signs of malnutrition. IDA is a condition of undernutrition while obesity is over-nutrition. However it is known that they seem to be bound up with such as poor dietary iron intake, increased iron requirements, and impaired iron absorption in obese individually. Nutrition education should be considered and demonstrate the effectiveness of the program for more understanding of the problem.

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双重负担:缺铁性贫血护生的肥胖

背景:2008- 2009年第四次泰国全国健康检查调查报告称，在15-29岁的亚洲女性中，体重指数(BMI) >25 kg/m2的超重和肥胖患病率为20.6%，而在15岁以上的女性中，根据世界卫生组织(WHO)的标准，血红蛋白(Hb) < 12 g/dL的缺铁性贫血(IDA)患病率为25.3%。方法:采用横断面调查法，对114名护理专业一年级学生中年龄在18 ~ 22岁的57名女生进行调查。在年度体检当天完成Hb浓度检查、BMI和自我管理问卷。本研究旨在调查泰国中部那空Nayok省圣特蕾莎国际学院IDA护理学生的肥胖患病率。结果:超重和肥胖(BMI > 25 kg/m2)患病率为5.3%，IDA (Hb 27.5)患病率分别为28.1%、57.9%、10.5和3.4%。该组各BMI类别中，IDA发生率分别为12.5、27.3、33.3%和100%。当采用国际分类时，体重不足(30.0)分别为28.1%、66.7%、3.5%和1.8%，IDA分别为12.5、23.2、50%和100%。在本研究中，IDA组与非IDA组与学生体重的差异有统计学意义(Kruskal-Wallis检验= 4.31,p< 0.05)，正常体重组与超重组与月经持续时间的差异有统计学意义(Kruskal-Wallis H检验= 6.54,p< 0.05)。结论:IDA和肥胖都是营养不良的迹象。IDA是一种营养不良，而肥胖是营养过剩。然而，已知的是，它们似乎与饮食中铁摄入不足，铁需求增加，以及肥胖个体铁吸收受损有关。应该考虑营养教育，并证明该计划的有效性，以便更多地了解问题。

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MedRN: Other Nutrition (Topic)

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